Individual
CAITLIN ELIZABETH DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
622 H ST, EUREKA, CA 95501-1026
(707) 443-4593
Mailing address
312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 85224-4354
(623) 300-5477
(800) 725-1576
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2014034082
MO
363A00000X
Physician Assistant
8142
AZ
363A00000X
Physician Assistant
Primary
PA65842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106495
—
AZ
Enumeration date
03/23/2015
Last updated
06/10/2025
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